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General NPI Number Information
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NPI Number | 1730086919
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Entity Type | Organization
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Legal Business Name | THREE DOC P.C.
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Dates
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Enumeration Date | 10/21/2026
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Last Update Date | 10/21/2026
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Provider Practice Location Address
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Address Line | 1 RIVERBOAT DR
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3267
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Country | US
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Telephone | 816-460-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 MARKET ST STE 502
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City | CHATTANOOGA
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State | TN
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Zip | 37402-3310
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Country | US
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Telephone | 682-259-6319
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | PAUL DICKENSON
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Credential |
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Telephone | 423-602-9530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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